Oksigenasi dengan Bag and Mask 10 LPM Memperbaiki Asidosis Respiratorik
Downloads
Introduction: ALO (Acute Lung Oedema) is the most common and remarkably life threatening medical emergency. It is not unusual that clients come to the hospital in critical condition. ALO occurs due to fluid accumulation in the alveoly, thereby impairing gas exchange and the client will experience respiratory acidosis and hypoxemia. The ALO management that must be urgently carried out is high concentration oxygenation with PEEP (Positive End Expiratory Pressure) to prevent alveolar collapse by means of Bag and Mask oxygenation, CPAP (Continous Positive Airway Pressure) mask and mechanical ventilation. The objective of this study was to explain the effect of oxygenation by using 10 lpm (liters per minute) bag and mask on respiratory acidosis improvement in ALO client.
Method: A pre-experimental one group pre post test design was used in this study. The population were all ALO clients in ICU (Intensive Care Unit), Adi Husada Kapasari Hospital. There were 12 respondents which taken by using total sampling. Data were collected by using observation on the blood gas analyze (pH, PaCO2 and PaO2) then analyzed by using Paired t-Test with significance level a≤0.05.
Result: The result showed that 12 respondents experienced respiratory acidosis and hypoxemia before intervention with 10 lpm bag and mask oxygenation was gave to them. After intervention for 1 hour, the result showed that pH increased (p=0.003), PaCO2 reduced (p=0.004) and PaO2 increased (p=0.005).
Discussion: It can be concluded that 10 lpm bag and mask oxygenation had significance effect on the improvement of respiratory acidosis in ALO clients. Further studies should involve more respondents and more reliable measurement tools to obtain better accuracy.
Bersten, et al. 1991. Treatment of Severe Cardiogenic Pulmonary Edema with CPAP Delivered Fase Mask, J Med. England, 1825-1830.
Bidang Diklat RSUD Dr Soetomo. 2005. Materi pelatihan ICU Tingkat Dasar. Surabaya, hlm. 39-42.
Brunner dan Suddarth. 2002. Buku Ajar Keperawatan Medikal Bedah. Edisi 8 Vol. 1. Jakarta: EGC, hlm. 798-802.
Guyton dan Hall. 1996. Buku Ajar Fisiologi Kedokteran. Jakarta: EGC, hlm. 292-302.
Price dan Wilson. 2005. Patofisiologi. Edisi 4. Jakarta: EGC, hlm.652-660.
Carolyne, M.H. 1997. Keperawatan Kritis. alih bahasa oleh Allenidekania dkk. Jakarta: EGC.
Djayanegara, I.D.G.N. 2006. Pemeriksaan Gas Darah 1 Jam Pasca Ventilator. Surabaya: Lab Anastesiologi dan Reanimasi FK UNAIR.
Hudak and Gallo, 1990. Critical of Nursing. Philadelphia: JB Lippincort Company, pp. 452-461.
Mims, et al. 2004. Critical care skills: A Clinical Handbook. USA: WB Saunders, pp.143-157.
Marino, P.L. 1997. ICU Book. California: William and Wilkins, pp. 441-445.
Pikir, S.B. 2006. Diagnosis dan Pengelolaan Edema Paru Kardiogenik Akut. Surabaya: Lab Kardiologi FK UNAIR, hlm.1-6.
Sandhi, C. 2006. Perubahan AaDO2 pasien Edema Paru Akut Sebelum dan Sesudah Pemberian PEEP. Surabaya: Lab Anastesiologi dan Reanimasi FK UNAIR.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
